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Schedule Pit-S - New Mexico Supplemental Schedule For Dependent Exemptions In Excess Of Five

2013 PIT-S

*130260200*

NEW MEXICO SUPPLEMENTAL SCHEDULE FOR

DEPENDENT EXEMPTIONS IN EXCESS OF FIVE

YOUR SOCIAL SECURITY NUMbER

Print your name (first, middle, last)

Use Schedule PIT-S ONLY if you have more than five federal qualifying dependent exemptions. If you have more than

five federal dependent exemptions, enter the name, social security number (SSN), and date of birth of the first five qualify-

ing dependents on 2013 Form PIT-1, line 8. For the remaining qualifying dependents on 2013 Schedule PIT-S, enter the

name, SSN, and date of birth and attach the Schedule PIT-S to your 2013 Form PIT-1. Enter only qualifying dependent

exemptions allowed on your federal return. Do not include yourself or, if filing a joint return, your spouse. New

Mexico uses the same definitions and qualifications as the Internal Revenue Service to determine if someone is a qualified

dependent. To determine who you may claim as a dependent exemption, see the instructions for federal Form 1040, 1040A,

or 1040EZ or visit the IRS website at

Line 8. DEPENDENTS (continued from Form 2013 PIT-1).

Enter the names as listed on the federal form.

Column 3

Column 1

Column 2

Date of birth

Dependent's

(MM/DD/CCYY)

social security number

First name

Last name

10.

11.

12.

13.

14.

15.

16.

18.

19.

20.

If you need additional space, attach multiple Schedules PIT-S.

Schedule PIT-S must be attached to Form PIT-1 or your additional exemptions will be denied.

Schedule Pit-S - New Mexico Supplemental Schedule For Dependent Exemptions In Excess Of Five